To quantify the conversion rate to total knee arthroplasty (TKA) after treatment of tibial plateau fractures (TPFs), hypothesizing that the rate is lower than commonly assumed.
Key Findings:
The overall conversion rate to TKA was 5.1%.
Studies with a follow-up under 5 years reported a conversion rate of 4.2%, while those over 5 years reported 5.9%.
The highest reported conversion rate was 21.9% after a mean follow-up of 6.8 years, indicating variability in outcomes.
38 out of 42 studies reported conversion rates between 0% and 10%.
Interpretation:
The conversion rate to TKA after TPF treatment is lower than commonly assumed, suggesting that surgical treatment may not lead to high rates of subsequent arthroplasty, which has implications for treatment strategies.
Limitations:
Heterogeneity of study data prevented meta-analysis, which limits the generalizability of the findings.
Some studies had small sample sizes or short follow-up periods, potentially affecting the reliability of the conversion rates.
Conclusion:
The findings suggest that the risk of TKA following TPF treatment is not as significant as previously thought, with most studies reporting low conversion rates, challenging existing assumptions.
Patients with preoperative vitamin D deficiency had higher postoperative pain scores and opioid use after mastectomy, including more than triple the odds of moderate to severe pain within 24 hours of surgery.
